Have you ever noticed your fingers curling toward your palm, making it harder to open your hand fully? If so, you might be experiencing Dupuytren’s contracture, a condition that affects the tissue under the skin of the hand. Let’s explore what this condition is, why it happens, and how occupational therapy can help.
What is Dupuytren’s Contracture?
Dupuytren’s contracture is a condition that causes thick bands of tissue to tighten and pull the fingers into a bent position. It usually affects the ring finger and pinky, though it can happen to any finger. Over time, the fingers may become stuck in a curled position, making everyday tasks—like holding a cup, shaking hands, or buttoning a shirt—more difficult.
What Causes It?
Doctors aren’t exactly sure what causes Dupuytren’s contracture, but they believe it may be related to:
- Genetics – It tends to run in families.
- Age and Gender – It’s more common in men over 50.
- Medical Conditions – Conditions like diabetes and epilepsy might increase the risk.
- Lifestyle Factors – Smoking and heavy alcohol use may play a role.
How Can Occupational Therapy Help?
Occupational therapy can help manage symptoms, improve hand function, and make daily activities easier. Here are some common OT approaches:
- Hand Exercises -Keeping your hands moving may help slow stiffness. An occupational therapist might suggest:
- Finger stretches – Gently straightening your fingers to maintain flexibility.
- Grip exercises – Using a soft ball to keep hand muscles strong.
- Finger lifts – Placing your hand flat and lifting each finger one by one.
- Splinting– A therapist may provide a splint to wear at night to help prevent further tightening of the fingers. However, splints are used carefully to avoid making the condition worse.
- Heat and Massage – Applying warm compresses and massaging the affected area can sometimes help with flexibility and comfort.
- Activity Modifications – An OT can teach you adaptive techniques to make daily activities easier. For example:
- Using larger-handled utensils for eating and writing.
- Trying Velcro fasteners instead of buttons.
- Learning new ways to grip objects with less strain.
- Post-Surgery Therapy – If the contracture becomes severe, surgery may be needed. Occupational therapy plays a big role in recovery by helping with wound care, strengthening, and restoring hand movement.
Final Thoughts
Dupuytren’s contracture can make everyday tasks harder, but occupational therapy can help you adapt and keep your hands as functional as possible. If you or a loved one is experiencing this condition, talk to a healthcare professional to explore your options!
